<h1>Payment notification</h1>
									

	<p>In case you performed a transfer to deposit your account and the money was deducted from your purse but didn't reach your trading account, please submit a payment notification.</p><p>Please select payment method for the notification: </p>
	
	<ul>
		<li><a href="<?=$base_url?>account/payments_notice/liberty_reserve">LibertyReserve payment notification</a></li>
		<li><a href="<?=$base_url?>account/payments_notice/wire_transfer">Bank Wire payment notification</a></li>
		<li><a href="<?=$base_url?>account/payments_notice/moneybookers">Moneybookers payment notification</a></li>
    </ul>

	<p>The funds will be transferred to your account in 24 hours.</p>
	
<h1>Moneybookers</h1>

	<p>Please state the currency and the sum of transfer, date of transaction, purse number.</p>
	

<style>
	#currency_en, #currency_cn {display: none;} 
</style>
<form id="pnotice-form" method="post" action="" class="request">

    <table>
        <tr id="form-item_amount">
            <td><label for="amount">Deposit amount</label></td>
            <td><input style="width: 100%;" type="text" name="amount" id="amount" value="100.00" /><p class="error_descr"></p></td>
        </tr>
		<tr id="form-item_purse">
            <td><label for="acct">Purse</label></td>
            <td><input style="width: 100%;" type="text" name="purse" id="purse" value="" /><p class="error_descr"></p></td>
        </tr>

        <tr id="form-item_pdate">
            <td>Payment date</td>
            <td>
				<select class="select_d" name="pday" id="pday">
				<?php
						for($i=1;$i<32;$i++)
						{
								echo repeater("\t", 5)."<option value=\"$i\"".(date("d")==$i?' selected':'').">$i</option>\n";
						}
				?>
				</select> 
				<select class="select_m" name="pmonth" id="pmonth">
				<?php
						$months = array('Jan','Feb','Mar','Apr','May','Jun','Jul','Aug','Sep','Oct','Nov','Dec');
						for($i=1;$i<=12;$i++)
						{
								echo repeater("\t", 5)."<option value=\"$i\"".(date("m")==$i?' selected':'').">".@$months[$i-1]."</option>\n";
						}
				?>
				</select> 
				<select class="select_y" name="pyear" id="pyear">
				<?php
						for($i=date("Y")-6;$i<=date("Y");$i++)
						{
								echo repeater("\t", 5)."<option value=\"$i\"".(date("Y")==$i?' selected':'').">$i</option>\n";
						}
				?>
				<p class="error_descr"></p>
				</select> 
			</td>
        </tr>
        <tr>
            <td>&nbsp;</td>
            <td><input id="bt-send" type="submit" class="submit" name="submit" value="Submit" style="width: 100%;" /></td>
        </tr>
    </table>
</form>